Healthcare Provider Details

I. General information

NPI: 1437902210
Provider Name (Legal Business Name): CHRISTIE LEANNE WRIGHT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTIE MARTINEZ

II. Dates (important events)

Enumeration Date: 04/10/2024
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4235 SECOR RD
TOLEDO OH
43623-4299
US

IV. Provider business mailing address

4235 SECOR RD
TOLEDO OH
43623-4299
US

V. Phone/Fax

Practice location:
  • Phone: 419-479-5728
  • Fax: 419-479-5968
Mailing address:
  • Phone: 419-473-3561
  • Fax: 419-479-5593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0035380
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number0035380
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: